Indiana
Professional Licensing Agency
Marcia R. Fortune
Radiology Student Permit
License number
XS004869
Date granted
06/28/2011
Date expires
11/30/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Boonville IN 47601-1908
indianalicensing.org
ID 8496749
LAST UPDATED 2024-05-01 00:10:56 UTC
LAST UPDATED 2024-05-01 00:10:56 UTC
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